Which intervention should the nurse implement to prevent contractures in a patient who is immobile?
Encouraging frequent changes in position.
Applying heat packs to stiff joints.
Administering muscle relaxants.
Using soft restraints to immobilize the extremities.
The Correct Answer is A
Encouraging frequent changes in position helps prevent contractures by promoting joint mobility and preventing prolonged pressure on specific areas.
Incorrect choices:
b. Applying heat packs to stiff joints may provide temporary relief but does not address the underlying issue of immobility or prevent contractures.
c. Administering muscle relaxants is not the standard intervention for preventing contractures. The focus should be on promoting mobility and range of motion exercises.
d. Using soft restraints to immobilize the extremities is not an appropriate intervention for preventing contractures. Restraints should only be used when necessary and as a last resort, considering the patient's safety and autonomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Performing frequent and thorough skin assessments is essential for identifying early signs of pressure ulcers and implementing appropriate preventive measures in patients with limited mobility.
Incorrect choices:
b. Applying petroleum jelly to vulnerable areas may create a barrier but does not address the underlying issue of pressure and does not substitute for regular skin assessments and preventive measures.
c. Placing the patient on an air mattress can provide pressure redistribution, but it should be used based on individualized assessment and healthcare provider recommendations. Skin assessments remain essential.
d. Encouraging the patient to sit for prolonged periods increases the risk of pressure ulcers. Adequate repositioning and regular mobilization should be prioritized to prevent skin breakdown.
Correct Answer is A
Explanation
Encouraging frequent changes in position helps prevent contractures by promoting joint mobility and preventing prolonged pressure on specific areas.
Incorrect choices:
b. Applying heat packs to stiff joints may provide temporary relief but does not address the underlying issue of immobility or prevent contractures.
c. Administering muscle relaxants is not the standard intervention for preventing contractures. The focus should be on promoting mobility and range of motion exercises.
d. Using soft restraints to immobilize the extremities is not an appropriate intervention for preventing contractures. Restraints should only be used when necessary and as a last resort, considering the patient's safety and autonomy.
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